Can a physician assistant inject or prescribe in Hawaii?
Oversight · part of The Practice Perimeter
Short answer
Yes for injecting — a PA may perform therapeutic procedures as the agent of a supervising physician who delegates them; the cited rules don't spell out separate prescribing authority, though nurses may carry out a PA's orders as that physician's agent.
A physician assistant shall be considered the agents of the physician assistant's supervising physician in the performance of all practice-related activities as established in writing by the employer. (b) Medical services rendered by the physician assistants may include, but are not limited to: (1) Obtaining patient histories and performing physical examinations; (2) Ordering, interpreting, or performing diagnostic and therapeutic procedures; (3) Formulating a diagnosis; (4) Developing and implementing a treatment plan; (5) Monitoring the effectiveness of therapeutic interventions; (6) Assisting at surgery; (7) Offering counseling and education to meet patient needs; and (8) Making appropriate referrals.
Haw. Admin. R. § 16-85-49.1(a)-(b) · verified Sep 8, 2026 · regulatory monitoring, not legal advice
Related Hawaii rules
(5) Prohibit services rendered by any person licensed under part II of this chapter to provide emergency medical services, or any physician assistant, when the services are rendered under the direction and control of a physician or osteopathic physician licensed in this State except for final refraction resulting in a prescription for spectacles, contact lenses, or visual training as performed by an oculist or optometrist duly licensed by the State. The direction and control shall not be construed in every case to require the personal presence of the supervising and controlling physician or osteopathic physician. Any physician or osteopathic physician who employs or directs a person licensed under part II of this chapter to provide emergency medical services, or a physician assistant, shall retain full professional and personal responsibility for any act that constitutes the practice of medicine when performed by the licensed person or physician assistant;
Haw. Rev. Stat. § 453-2(b)(5) · verified Sep 8, 2026
The Hawaii medical board shall require each person practicing medicine under the supervision of a physician, osteopathic physician, or group of physicians, other than a person licensed under section 453-3, to be licensed as a physician assistant. A person who is trained to do only a very limited number of diagnostic or therapeutic procedures under the direction of a physician or osteopathic physician shall not be deemed a practitioner of medicine or osteopathy and therefore does not require licensure under this section.
Haw. Rev. Stat. § 453-5.3(a) · verified Sep 8, 2026
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Related Hawaii questions
- Can a registered nurse inject Botox or filler in Hawaii?
- Can a nurse practitioner treat without a supervising physician in Hawaii?
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